Endovascular Intervention with a Mobile C-Arm in the Operating Room

Area of Science:

• Medical Imaging
• Radiology
• Endovascular Surgery

Background:

• Mobile C-arm fluoroscopic X-ray systems are crucial for diagnostic imaging and minimally invasive endovascular procedures.
• The mobility of C-arm systems offers significant advantages in patient care.
• Optimizing system setup and personnel positioning is essential for efficient and safe procedures.

Purpose of the Study:

• To determine the optimal settings for mobile C-arm fluoroscopic X-ray systems and operating tables.
• To define proper positioning for operators and medical staff during various endovascular interventions.
• To describe methods for minimizing radiation exposure to healthcare professionals.

Main Methods:

• Classification of optimal settings and positions into 5 procedural types.
• Type I: Aortic and inferior vena caval procedures.
• Types II-V: Specific lower extremity interventions, arteriovenous fistula/graft interventions, and central vein catheterization.

Main Results:

• Defined 5 distinct procedural types (I-V) with corresponding optimal C-arm and table settings.
• Established recommended operator and assistant positions for each procedural type.
• Presented strategies to reduce radiation exposure during mobile C-arm fluoroscopy.

Conclusions:

• The study provides a standardized framework for optimizing mobile C-arm fluoroscopy setups.
• Adherence to these guidelines can improve procedural efficiency and patient safety.
• Implementing these positioning and setting strategies is key to minimizing radiation risks for medical personnel.